国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
8期
1508-1510
,共3页
原发性闭角型青光眼%白内障%单纯小梁切除术%青白联合手术
原髮性閉角型青光眼%白內障%單純小樑切除術%青白聯閤手術
원발성폐각형청광안%백내장%단순소량절제술%청백연합수술
primary angle-closure glaucoma%cataract%trabeculectomy%combined surgery of glaucoma and cataract
目的：比较单纯小梁切除术和青光眼白内障联合手术(青白联合手术)治疗原发性闭角型青光眼( primary angle-closure glaucoma ,PACG)合并白内障的效果。<br> 方法：回顾性分析我院2010-01/2013-10间收治的PACG合并白内障患者80例90眼,分为观察组(青白联合手术组,45眼)和对照组(单纯小梁切除术组,45眼)。术后对所有患者随访6mo,观察术后眼压、视力以及术后并发症等情况。<br> 结果：两组术后眼压比术前眼压均明显的降低,而观察组眼压降低更明显(P=0.003)。观察组患者术后视力明显上升,而对照组术后视力与术前上升不明显,两组对比差异有统计学意义(P=0.036)。对照组术后发生低眼压性浅前房、黄斑水肿、前房炎症的患眼均较观察组多,差异均有统计学意义(P=0.002,P=0.003,P=0.001)。<br> 结论：对PACG合并白内障的患者行青白联合手术治疗能有效提高视力,控制眼压,且并发症少。
目的：比較單純小樑切除術和青光眼白內障聯閤手術(青白聯閤手術)治療原髮性閉角型青光眼( primary angle-closure glaucoma ,PACG)閤併白內障的效果。<br> 方法：迴顧性分析我院2010-01/2013-10間收治的PACG閤併白內障患者80例90眼,分為觀察組(青白聯閤手術組,45眼)和對照組(單純小樑切除術組,45眼)。術後對所有患者隨訪6mo,觀察術後眼壓、視力以及術後併髮癥等情況。<br> 結果：兩組術後眼壓比術前眼壓均明顯的降低,而觀察組眼壓降低更明顯(P=0.003)。觀察組患者術後視力明顯上升,而對照組術後視力與術前上升不明顯,兩組對比差異有統計學意義(P=0.036)。對照組術後髮生低眼壓性淺前房、黃斑水腫、前房炎癥的患眼均較觀察組多,差異均有統計學意義(P=0.002,P=0.003,P=0.001)。<br> 結論：對PACG閤併白內障的患者行青白聯閤手術治療能有效提高視力,控製眼壓,且併髮癥少。
목적：비교단순소량절제술화청광안백내장연합수술(청백연합수술)치료원발성폐각형청광안( primary angle-closure glaucoma ,PACG)합병백내장적효과。<br> 방법：회고성분석아원2010-01/2013-10간수치적PACG합병백내장환자80례90안,분위관찰조(청백연합수술조,45안)화대조조(단순소량절제술조,45안)。술후대소유환자수방6mo,관찰술후안압、시력이급술후병발증등정황。<br> 결과：량조술후안압비술전안압균명현적강저,이관찰조안압강저경명현(P=0.003)。관찰조환자술후시력명현상승,이대조조술후시력여술전상승불명현,량조대비차이유통계학의의(P=0.036)。대조조술후발생저안압성천전방、황반수종、전방염증적환안균교관찰조다,차이균유통계학의의(P=0.002,P=0.003,P=0.001)。<br> 결론：대PACG합병백내장적환자행청백연합수술치료능유효제고시력,공제안압,차병발증소。
AIM: To compare the effect of trabeculectomy and combined surgery of glaucoma and cataract treating primary angle-closure glaucoma ( PACG) with cataract. METHODS: It was retrospectively reviewed that 80 patients (90 eyes) with PACG and cataract were treated in our hospital from January 2012 to October 2013. They were divided into observation group ( combined surgery of glaucoma and cataract group, 45 eyes ) and control group ( trabeculectomy group, 45 eyes) . Postoperatively, all the patients were followed up for 6mo. Intraocular pressure ( IOP ) , visual acuity and complications were observed. <br> RESULTS: Compared to preoperative IOP, postoperative IOP was significantly reduced in both observation group and control group, while IOP was reduced more greatly in observation group (P=0. 003). Visual acuity was significantly improved in observation group, while it was not improved significantly in control group ( P = 0. 036 ). Compared to control group, complications such as shallow anterior chamber with hypotony, macular edema and anterior chamber inflammation were less observed in observation group, with significant statistical difference ( P=0. 002, P=0. 003, P=0. 001). <br> CONCLUSION: For patients with PACG and cataract, combined surgery of glaucoma and cataract is an effective surgery that can improve visual acuity and reduce IOP with fewer complications.
